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HomeMy WebLinkAbout18305-z ` FORM N0, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall , Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19184 Date JULY 5, 1990 THIS CERTIFIES that the building ADDITION Location of Property I60 SEBASTIAN'S COVE ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 107 Block 1 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 11, 1489 pursuant to which Building Permit No. 18305-Z dated JULY 12, 1989 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is DECK ADDITION TO EXISTING ONH FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LEON & PAULINE xRFMFNTZ (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 F08M NO. 8 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- S 3~ J Z Date ...........~t,.M.~t~.....~.:~ 19..•1 Permission is hereby granted to: ` I ~'.r...y....,-w,.....~ to ..L,~~ti~:~•:4./~4:K,.r......5~~.r c:744.:2&......Q...kQ.2e!~?;..~-R.....1~t:1... ........1.. / ^y , at premises located ot ...l..~o.(J........4~~^r.-:.4 Q:...:.....~:.~..~ County Tox Map No. 1000 Section I Block ......a..~......... Lot Na....~:.~. pursuant to opplication dated . 19~.~.., and approved by the Building lnspector. Fee $...~.:.....~i Building Inspector Rev. 6/30/80 ' Form No. 6 ` TOWN OF SOUTHOLD L1~~~ BUILDING DEPARTMENT D ~ TOWN HALL ~ntg~ ~'1 765-1802 Jam" ~~r TOVt~N OF <•OEht~7' APPLICATION FOR CERTIFICATE OF OCCUPANCY JOtJl'HOt_b A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. 'Final Approval from Health Dept. of water supply and sewerage-disposal (S-4 form), 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate_of__ Code-Compliance from ar&hitect or engineer _ responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. ' 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00, 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Co~/mmercigqal $15.00 Date o.S,.:.l.~. New Construction........... Old Or Pre-existing Ruilding,,,,,,,,,,,,,,,,,,, Location of Property......~~Q ...............yS,G/JyS,~7av~,~o?~.„~~:•..•.•M4f~`~c~,, House No. .Street Hamlet r , Onwer or Owners of Property.......~'E:":~~„~,,,,~L;~~i;~c;_„/~j-'~pry.~~~.,...• , County Tax Map No 1000, Section...., lQ.~....Block...... © r......Lot... ~T Subdivision ....................................Filed Map............Lot.............: Permit No.....1~~~~:.Z,Date Of Permit. 7.'-~:Z:~~.....Applicant. ~e4.~'L.~~~I':'f.~rysTZ,.,, lIealth Dept, Approval ..........................Underwriters Approval....................., ' l• Planning Board Approval " Request for: Temporary Certificate........... Final Certicate........... ' Fee Submitted: $..,,a-~~,~,' . -n... 399v/ ~ ~ Cd ~~9fg`~ APPLIC ~~~FaIKC ~ TEL.7G5-1802 O ~,~?d OG ` TOtiVN OF SOUTIIOLD {t (3~a~~1, ~ UI~FiCL• Or BUILDING INSPECTOR ~ ;err. rn P.O. QOM 728 ~ y ~ T01VN HALL ys/~1 ~ ~~o~- SOUTfiOLD, N.Y. 1 1971 JUNE 7, 1990 LEON & PAULINE KREMENTZ P.O. BOX 207 MATTITUCK, NY 11952 To F7hom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. /X`/ An application for Certificate of Occupancy i ; not on file. / / No Underwriters Certificate on file. The check is(outdated/not on file.)$25.00 No Itcalth Wept. Approval on file. Ne final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Buildi_nct Permit it 1 8 3 0 5 Z Building Dept. No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1989 ) lELD I;;.S: ~~;ini:. II i;U:YMLNT~ I II{1{ 1 t • . ~ ~I ~ +aO~D (v~ H C _ H ?OUt1DATI6t1 ( 1st ) ~ ~ c ?OUIJDATIOIJ (2nd) _ _ m~~(' ~ ~P z o .°,OUGH FRAME & ~ PLUMBING N H 3. ~ pp m f_ n ~ INSULATION PER N. Y. STATE EPIERGY CODE I . } .~r,3 ~ ~ H 4 • m , / S / FI;JAL' o ADDITI01lAL COMMENTS: ~ x . r m ' x ' H ~ ~ 9 H H ,-0 O r m ~ H ~y . m ro ~~o~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ~ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ( FINAL ' REMARKS: DATE ~J INSPECTOR YAp~~,~ V V V +r, sFr t S~~~ i a a ~ ,b ~ jP~+ a hQ' b~ ry ~ ~Tk:d6r W ~ V ^1 ti r d ~ ~ . . 4` H V w. , o J~ 'S WT4 O Q W , .1 T ~ ~ ~ . ~ ~ O J ~ y; , ~ v Z~ ~ ~ AI Y ~ ~o~ w, ~ ~ W 0 I ~ ;r, ~ ~ b ( V 1 < ~ ~ '~Arrsr raMwA ~ ~ ~ Q ` ~v`I f~ Mr wrt,• ~r3w~/lQ,w• Ay . , ~ ~ ~ ~ ~ L I I I' s ~8~ di r~s~r Hose ~ ,wAp ,of' ~ ~ A/ATT/T~^R' ,o. TOWN@~ O/Fy~,~~'IUTUHy©LD M.a~lc LOT J AJ SMf.M'N AY M/MDA ~t~OYN~t7W AA /~i10Y11K 4 rM1r JMWM1w1! , .!d ~ M.11M,s. _ Of NEW ' dQr'f~ICk Qi>IfllOC~Ote~;; CAA'CA60 T/T4f ,1lt.~ CQ aI ; X13 .west ~IVIa >Mn~sf • ~ - ~1?~~01~-/~/ ~ ~ >;.rwtr•,r?~Lw, yank f 19Q1 ~ ~AflAIMA AI~~E~AN JAN I I ;1'Ad4• 'Dols N0. W•41Q MDrd+ • f0 RANO i IQ'~A•100~0f~li.s SCOI• 1'~ 64~ 4YEVAT/QYd AAR' /N r1J+W~1~'O MGM. 7 BO.\FD OF HE.\LTH ~ • • . FORh7N0.1 3 SETS OF PLflNS ,0-!!~"""' SuavEY i2.33Q'~ . ' ~ TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC r• oars . , • ~ BLpG. DEPT. ~ E TOLVN HALL • ' • • " " " TOWNUFSOUTHOLp OUTHOLD,N.Y.11D71 NOTIFY TEL.:705~1II02 CALL Examined...~s~y,/,2.,. 19??9 rtnlL To:•('a••~of-raj....;. .\pproved ...~MW4/ll, 1 19~. Permit No~.8.r~~S~^"!--• ~1'1a~74cc;OLa'. Disapproved a/c / (Building Inspector) APPLICATION FOR BUILDING PERMIT • Date ..:..'~1:. 9 15~t~~', INSTRUCTIONS i a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public scree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app; ration. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant Such perm: shall be kept on the premises available for inspection throughout the work. e. No building shall be,occupied or used in whole or in part for any purpose whatever until a Ceniftcate of Occupanc shall have been granted by the Building Inspector. ~ ' APPLICATION IS HEREBY MADE to the Building Depai2ment for the issuance of a Building Permit pursuant to th 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described cite applicant acrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t< =dmit authorized inspectors on premises and in building for necessary inspe tipns. Signature of applicant, or name, if a corporation)• (Mailing address of applicant) ~ ~ ~ • ~ • ~ ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. _ \ame oC owner of premises . , : r,~ rt , ;E; , , ,~a,':t_;~yt~~~yl • pPPROYED_AS NOTED . • • • . • • • (as on the tax roll orlaLtleed) 8p /•~'30~"~'''' if applicant is a corporation, signature of duly authorized officer: , ~ ~ ~ fEE:s~.~..__-...BY NOTIFY BUILDING DEPrssiTMENT A7 • • • • ~ • • 765.1802 9 AM TCt 4 ~ r,~;r'7': t ~E (Name and title of corporate officer) /h?~0 FOLLOWING INSPECt3Cn:S Builder's License No. 6G<l'k(~/LY ~~w FOUNDATION - TWO'REQUIRED • • • • • • • • • S~~ ~t~~~r ~ 2. ROUGHU FRAMINGR& PLUMBING Plumber's License No. ~g~4v~ C Qa~~ 3, INSULATION Electrician's License No. ~ - 4. FINAL - CONSTRUCTION MUST '1~`~' 0~, ~ BE COMPLETE FOR C.O Other Trade's License No. , , , , , , , , CONSTRUCTION SHALL' MEET ' ' ' • • • • • • • • • • THE REQUIREMENTS OF T'HE N.V. 8TA7E CONSTRUCTION & ENERGY Location of land`,on which proposed work will be done. t COOES. NOT RESPONSIBLE FOR ~ J ~ k1:;"~ "::,6 `-:H~':1.~:-. ~:i ~ ..~°~'t DESI(aN Olt (~Gfll3'TtiUCT1171A ERRORS... • . House Num bcr Strcct. " " " " " • • • • • • • • • . Rootlet " County Tax ,\lap No. 1000 Section .........~P.~...... Block , , , / Lo[ ....tXF.p/r• . Subdivision F.iIcJ ltlap No. . ..1N:unc) Lot...... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a• Existing use and occupancy , b.Intendcd uses •1 . _ . nd occupancy 3• Repair of work (check which applicable): Ncw Building , , , , Removal , • • • • • Addition p reckon Demolition ~ti1cP~F? 4. Estimated Cost , ~ , +~~~:=~`~t{y~tM Fce u.`~G'• C}v 5. If dwcllin~ ~ „ nurnbot cars~vc!ling units , , , , (to be paid on liling this aPPlication) If garage, number " " • • • • Number of d;welling units on each floor........... , 6• if business, commerckal or mixed occupancy, s evil ~ • ~ • • • • • • ~ ' ~ • • ~ ~ ' ' • 7. Dimensions of existing structures, iCa P Y nature and extent of each type of use . • • Heicht ny: Front .Rear • ' . . Number of Stones , Depth . • Dimensions of same structure with altcratio • • • • • ~ ~ " " . , • • • • ~ ~ • ~ • • Depth. nsoradditions: Front...... ' 8. Dimensio • Ilei_^ht Rear ns otentirc new construction: Front , • • " • Number of Stories . • ~ • Hci;ttt . Nurn bcr Rear , • • • • • . 9. Size of lot: Front . of Stones , , " " " • • • • • • • • Depth , , , , , 10. Date of Purchase ~ • Rear ~ _ ...Dc~i„ 1 I. Zone or use district in which (premises ~ ~ ' "Name of Former Owner d c, ;p l.''.. Does proposed c arc situated . , , , , , ~Fk?ry`t• t ~ • t1'4t.,if~'~~f, , . • ~ • onstruction s~iolatc an ' }`:t:..:t :~{.:r.'r.~l`r,~f, 13. 1Vi11 lot be recraded 1' zoning law, ordinance or rc;ulation: . ,p)O... • • ~ • • • • • ~ ~ ~ • • • ~ ~ ' 14. Name oC Otvner • • • • • ~ t~f>. • • \Vill excess till be rcmovcrl ,(rom premises: • • ~ • •Ycs ~ • • ~ p - Name of C of prcmises.+,t'11r'I ~ t`Gl.<(fl,lt~j~e,~~r7~~jdressl(:t?.~~!rUjl~;~t'(n~1,~ ~P .Phone No. S;F • Name of Architect „ ontractor , ~ • Address .Phony, No.. ~ • 15.1s this property to ated '............Address ................PhoneN *If ~ within 300 feet of~ a ,tidal wetland? ~ o. yes, Southold Town Trustees Permit may be required. YES •••t70""•' PLOT DIACRA,tif Locate clearly and distinctly^aIl buiidins, whether existing or proposed, and. indicate all set-back dimensions fro; property lines. Give street and block number or description according to deed, and show street names and ' interior or corner lot. yy~a~~ 1f~~ ~i 1` rndicatcwhctht ~~-ltesetf~?~tcoNS 1'P~~~Q.w1C7f .~01)C M~(ar g©® ~"I'TP tt tr ~j ~ ~ ~ t~,~~os ~e ~~,_.3 'L~ivf@n~'~y"I`!?'~gs"i1(CliYtl~a~` ~rac~~• •~'`1t' ~`~_G.~.A~.- ~P-~~r~ on _~evt~e.r~_ ToP '~'tJtr.c~katP°~'er ic- r`_ eCd4e~, ~ailtt~s ~nd,~,s;~ps as ~~Laiwec~ ~'a hear~y~~l-, 7f' Sr~Os l~e~k ~ y, N t__._~_____ i ~'s'„ L, " y ~ 9O~ , ,'y .'r, ~rr ,i . T,1TL OF \ ES5' YO(t'1;';'" ` '~z%t;t.i' 1~=,~ ~,I OUtiTY OF ~?;~tt;, lEr~~St~.C. w Y• .a • rE... .~iisA~4 ~~9. ~34G r-; (,a~n,q oC~•ndYtiiltlthdP§4;h'~n~c~~ntract) • • • ~ • • • ~ Uurrl~ duly sworn, deposes and says that he is the applicant ~avc Harried ' IS th `:t, "tip ~5f3kk'_)>3f17';`ht'-1`F ;sfitaT~ 'e.F.f rY,ft~ 4°kL91'f:N.9Fi1'~~`~1:1 VID}r°~t1 • • • • • • • • • • . (Contractor, agent, corporate officer, etc.) sakd owner or owners, and is duly authorized to perform or have performed the said work and to • ~lieation; that all statements contained in this application arc true to the best oChis knowledge and belief;and that the rk wdl be pcrfomtcd in the manner set forth in the; application filed thcrcwitlt. mako and Glc this orn to bciore me this .day oC.. a;; Public. J~; :~,r~`~ .:l c .~~U~-... . County HELEN K.DEVOE . ~~`'°~'~-:.~~f _ " • ' ' • ' X7078/8, Su~Kalk l~it_ MyYq j • • • • • • • • • • • termfxpireefAerch30.1 (Signatur of applicant) i'